Individual
ANDRES J RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ST. JOSEPH CENTER, 204 HAMPTON DRIVE, VENICE, CA 90291
(310) 396-6468
Mailing address
1509 W IMPERIAL HWY, LOS ANGELES, CA 90047-4904
(323) 667-8843
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
135430
CA
106H00000X
Marriage & Family Therapist
AMFT107557
CA
Other
Enumeration date
08/28/2018
Last updated
11/29/2022
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